Grandma forgot that she had her tooth extracted?
Today, my grandmother went to have a tooth extraction.
I heard from family members that after she returned, she kept going up and down the stairs.
They mentioned that during the extraction, she was very angry and argued, which left her feeling very down afterward.
She has never shown any symptoms similar to dementia before.
Doctor, could this situation be related to the dental nerve? How should we handle this?
Calvin, 20~29 year old female. Ask Date: 2021/02/17
Dr. Lin Jiayong reply Dentistry
Hello: Dementia is primarily related to the central nervous system, while tooth extraction affects the peripheral nerves.
If the dementia or memory loss is severe, it is advisable to consult a neurologist! This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/02/17
More Info
Memory loss or confusion following dental procedures, such as tooth extraction, can be concerning, especially in seniors. While it may not be directly related to the dental procedure itself, several factors could contribute to this phenomenon.
Firstly, it is essential to consider the psychological impact of dental procedures on elderly patients. Many seniors may experience anxiety or stress related to dental visits, which can lead to temporary confusion or mood changes. This emotional response can be exacerbated if the individual has a history of anxiety or if they are already dealing with cognitive decline.
Secondly, the use of anesthesia during tooth extraction can also play a role. Local anesthesia is typically used for dental procedures, but in some cases, sedation may be administered. Sedatives can cause temporary disorientation or confusion, particularly in older adults, whose bodies may metabolize medications differently than younger individuals. This could explain the sudden mood changes and confusion observed after the extraction.
Additionally, pain management medications prescribed post-extraction, such as opioids or other analgesics, can also lead to cognitive side effects. Seniors are often more sensitive to medications, and side effects can include drowsiness, confusion, or memory issues.
Another critical factor to consider is the overall health of the individual. Seniors often have comorbidities that can affect cognitive function, such as dehydration, infections, or metabolic imbalances. If your grandmother was already experiencing any underlying health issues, the stress of the dental procedure could have exacerbated these conditions, leading to temporary memory loss or confusion.
To address this situation, it is crucial to monitor your grandmother's condition closely. Here are some steps you can take:
1. Provide a Calm Environment: Ensure that she is in a quiet, comfortable space where she can relax. Reducing stimuli can help alleviate anxiety and confusion.
2. Stay Hydrated: Encourage her to drink water, as dehydration can worsen cognitive function.
3. Monitor for Other Symptoms: Keep an eye out for any additional symptoms, such as fever, increased pain, or swelling, which could indicate complications from the extraction.
4. Communicate: Talk to her gently about her feelings and reassure her. Sometimes, simply discussing her experience can help her feel more grounded.
5. Consult a Healthcare Professional: If her confusion persists for more than a few hours or worsens, it is essential to contact her dentist or primary care physician. They can assess whether her symptoms are related to the dental procedure or if there are other underlying issues that need to be addressed.
6. Follow-Up Care: Ensure that she attends any follow-up appointments with her dentist to monitor her recovery and address any concerns.
In conclusion, while memory loss or confusion after a tooth extraction in seniors can be distressing, it is often temporary and related to factors such as anxiety, medication effects, or underlying health conditions. By providing support and monitoring her condition, you can help her navigate this challenging time. If symptoms persist, seeking professional medical advice is crucial to ensure her well-being.
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